Active NPI
Ahmed Afify, DMD
- Dentist
- Southfield, MI
National Provider Identifier
1346664802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29404
- Practice address
- 28411 Northwestern Hwy Ste 115
Southfield, MI 48034-5536 - Phone
- (248) 636-2005
- Fax
- (248) 636-2006
- NPI assigned
- Feb 4, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 29404 | TX | Primary |
Addresses
Primary practice location
28411 Northwestern Hwy Ste 115
Southfield, MI 48034-5536
Mailing address
28411 Northwestern Hwy Ste 115
Southfield, MI 48034-5536
Phone (248) 636-2005
Other practice location 1
5935 Aspen Gdn
San Antonio, TX 78238-4400
Phone (617) 955-5561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210305001932 | MI | Order and Referring Only - Dentist | 0547676165 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29404 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Restorative Institute, PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Canton, MI
- NPI 1508442195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1346664802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28411 NORTHWESTERN HWY STE 115",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480345536",
"telephone_number": "248-636-2005",
"fax_number": "248-636-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28411 NORTHWESTERN HWY STE 115",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480345536",
"telephone_number": "248-636-2005",
"fax_number": "248-636-2006"
}
],
"practiceLocations": [
{
"address_1": "5935 Aspen Gdn",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782384400",
"country_code": "US",
"telephone_number": "617-955-5561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AFIFY",
"first_name": "AHMED",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-04",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "29404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.